- HCA Healthcare (Webster, TX)
- …in Social Work Services with experience in health care delivery systems with focus on Utilization Management & Case Management . experience Required Years ... Qualifications** POSITION SUMMARY: Under the direct supervision of the Case Management Director, collaborates with the ...related to provision of services, patterns of care, and utilization of resources. 2. Collaborates with the Director of… more
- Sedgwick (Austin, TX)
- …and client satisfaction; to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for ... multiple business lines; and to provide expertise in client specific case management and utilization review requirements and ensure customer satisfaction… more
- Highmark Health (Austin, TX)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... , identification of opportunities for referral to a Health Coach/ case management , and identification and resolution of...clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS**… more
- Affordable Care (TX)
- …including ** case acceptance rate, treatment plan conversion, and financing utilization ** , to the Key Leadership Team. + Support alignment across clinical ... **Overview** **Traveling Operations Manager - Dental Practices (Treatment Planning & Case Acceptance Focus)** **_Must Have Current/Previous DSO Experience_** We are… more
- Highmark Health (Austin, TX)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
- Global Foundries (Austin, TX)
- …components up to major platform elements. Up to 20% of domestic and international travel to Germany, Singapore, India and Malaysia to liaise with IT and business ... avro, iceberg); (2) large-scale data analytics, business intelligence (BI) workloads management , Migrating Data and Analytics workload to the Cloud AWS (Redshift,… more
- Datavant (Austin, TX)
- …benchmarking, goal setting, timely execution, and superior leadership. + Strong utilization of SalesForce to include monitoring and documenting member information. + ... Understanding and utilization of P&Ls to assist in reducing cost while...book of business. Qualifications: + Minimum of 5 years management or sales experience in a healthcare environment +… more
- Abbott (Houston, TX)
- …This includes influencing stakeholders within the hospital, driving product utilization , support on contracting, relationship development, relationship management ... Secondary responsibility is to support clinical selling activity and some procedure case service. This includes selling on clinical differentiation in the procedure,… more
- CenterWell (Houston, TX)
- …RN license or social work degree / license + 5 years or more prior nursing, case management , disease management and/or social work experience + At least 2 ... for managing populations and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with travel requirements to preferred… more
- Genesis Healthcare (Dallas, TX)
- …of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient ... support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the US with...Director of Rehab PTA is responsible for the efficient management of rehabilitation services in their assigned account(s). This… more
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